Ethnic (we are required to request this information by Federal Statute)

White Non Hispanic

Non-Resident Alien (non US Citizen)

Asian

American Indian or Alaskan Native

Black Non-Hispanic

Hispanic

Native Hawaiian/Pacific Islander

Two or More Races

Religious Denomination:

Roman Catholic

Methodist

Baptist

Lutheran

Episcopalian

Jewish

Buddhist

Hindu

Moslem

Christian - Other

Non-Christian - Other

None

Educational Goal:

Degree

General Interest

Certificate (Management or Ministry)

Degree Already Earned?:

BachelorMasterDoctorateOtherNone

Year & College where degree was earned

Year

College

If "other" listed above, indicate degree/certificate

Have you ever taken any classes through the university (this includes Continuing Education, Lifelong Learning, Wilmar-Extension, Newman Center Extension, Military Science, SJU Prep School Progroam, St. Cloud Hospital School of Nursing, or Special Diocese)

YesNo

If yes, time of last Attendance (term & year)

Courses Requested

CRN

Subject

Course#

Section#

Course Title

Credit Amt

Audit

Instructor

CRN

Subject

Course#

Section#

Course Title

Credit Amt

Audit

Instructor

CRN

Subject

Course#

Section#

Course Title

Credit Amt

Audit

Instructor

Alternate Courses to be considered if your first choice is unavailable